Information Collection

DEI Data System - State Government

IC 199068 under ICR 201104-1230-001 · OMB 1230-0006.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
DEI Data System Data Elements.xlsx	Other-Data Elements to be Collected
DEI_Training_Site_Visit__Interview_Logistics__Protocol_01-26-13_JV_Final.doc Site Visit Protocol	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Data Elements to be Collected					Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records

Title: System of Records Notice, DOL/ETA-15

FR Citation: 67 FR 16898

Number of Respondents: 16

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	289,972	289,972
Annual IC Time Burden (Hours)	23,294	23,294
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Site Visit Protocol		01/30/2013

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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